Friday, April 19, 2024

Surgery For Leaky Heart Valve

Can I Live A Typical Life After Heart Valve Surgery

Cardiologists repair leaky heart valves without open-heart surgery

It will take some time before someone can get back to their daily activities. It typically takes 612 weeks for their sternum to heal. In the meantime, they should avoid carrying heavy loads or doing activities that could aggravate the area.

So yes, it is possible to have a typical life after heart valve surgery. While it will take patience to recover from the procedure, most people report an increased quality of life after the operation.

Are There Different Kinds Of Leaky Valves

A leaking heart valve can occur in any one of the four heart valves:

  • Aortic valve between the left ventricle and the aorta .
  • Mitral valve, between the left atrium and the left ventricle.
  • Pulmonary valve, between the right ventricle and the pulmonary artery.
  • Tricuspid valve, between the right atrium and the right ventricle.

A leaky valve allows blood to leak backward into the chamber it came from.

Location of the aortic valve, mitral valve, pulmonary valve and tricuspid valve inside your heart.

Repairing Heart Valves Without Surgery

The Structural Heart and Valve Center at NYP/Columbia has long been a leader in catheter-based treatmentthe least invasive therapyto repair the mitral valve. This valve regulates blood flow between the upper and the lower chambers on the left side of the heart. When it is damaged or defective, blood flows back up into the upper chamber, producing Mitral Regurgitation .

Patients with MR often have a heart murmur and may suffer from heart palpitations, shortness of breath, fatigue after exertion, and swelling in the feet or ankles. As their valve disease progresses, patients with MR may experience other problems including heart failure, a condition in which the heart cant pump enough blood to meet the bodys needs.

Because our volume is one of the highest in the country, our Center is one of the first to study and test new devices for heart valve repair and replacement. As a result, our patients benefit from the latest therapies.

The following clinical trials promise to extend our range of options for patients not fit enough to undergo the rigors of conventional surgery. These catheterbased approaches are also referred to as percutaneous since no surgical incisions are necessary. Another advantage: The patient doesnt have to be placed upon a heart-lung machine during these procedures. Because the following treatments are minimally invasive, they are generally associated with a significantly faster recovery time and a lower overall risk.

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How Can I Take Care Of Myself With A Leaky Heart Valve

A leaky valve can contribute to heart failure and cardiac arrest. So you should take good care of yourself to improve your overall heart health. The following lifestyle changes can help ease the symptoms and prevent more serious heart problems:

  • Avoid alcohol, smoking and illegal drugs.
  • Eat a well-balanced, nutritious diet, avoiding too much salt or fat.
  • Exercise: Start slowly, and always warm up and cool down.
  • Follow your treatment plan carefully, including getting all tests that were ordered and taking all medications as prescribed.
  • Maintain a healthy weight.
  • Reduce stress and get plenty of rest.

How Long Does It Take To Recover From Heart Valve Surgery

Aortic valve replacement

Open heart surgery typically requires a person to stay 57 days in the hospital, with home care continuing for 710 days. During this time, someone will likely require assistance with everyday tasks. It takes between 6 and 12 weeks for the breastbone to heal completely, but it can take longer.

If a person has a valvuloplasty or TAVI, the recovery time will be shorter.

Gradually, these individuals can return to everyday activities such as driving, walking, exercising, and working. However, people should follow the advice of their doctor and not rush the recovery period.

Common side effects of the operation are:

  • pain and discomfort

Although each persons experience will differ, the following are the basics of what to expect during and after the surgery.

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Cardiomech Mitral Valve Repair System

CardioMech is developing a catheter-based mitral valve repair technology designed to treat patients suffering from moderate to severe or severe, symptomatic DMR due to prolapse or flail.

The CardioMech technology is designed to provide a catheter-based therapy for the placement of artificial chord to reduce or eliminate MR as an alternative to surgical mitral valve repair.

The CardioMech MVRS procedure implants an artificial chord with anchors on each end, one for the mitral valve leaflet, the other for the left ventricle wall. Once the anchors are placed, the artificial chord is adjusted on a beating heart with the goal of reducing or eliminating the regurgitation.

Why Its Better To Have Your Mitral Valve Repaired Than Replaced

Having your mitral valve repaired before symptoms become severe can increase your longevity. Heres one patients story.

When Thomas Kimble discovered he would need to have his mitral valve repaired, he was happy to get a recommendation from his Florida cardiologist for a surgeon highly skilled in minimally invasive procedures.

This eased the decision for the Florida resident to move forward, even though, like many individuals, he wasnt experiencing symptoms of his mitral valve regurgitation, which may include fatigue, shortness of breath, chest pain and an irregular heartbeat.

In fact, just prior to his November 2020 surgery with Michigan Medicine Frankel Cardiovascular Center surgeon Gorav Ailawadi, M.D., the 68-year-old was hiking at 11,000 feet in Breckinridge, Colorado. I may have felt a little fatigued, but I attributed it to my age, he says.

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What Is The Outlook For People Who Have Mitral Valve Repair

Mitral valve repair is a durable solution for treating mitral valve disease. Most people can go at least 10 years without needing another surgery. Almost as many can go 20 years. Most people dont need another mitral valve surgery after a successful repair.

Youll need an echocardiogram each year so your provider can check on your valve function. You may also need antibiotics before certain procedures to prevent endocarditis . Talk with your provider about all measures you need to take in the years following your surgery.

What Are The Risks And Benefits Of Such Surgery

Leaky Heart Valve After Surgery to Repair Tetralogy of Fallot (TOF) – CHOP

It is important to keep in mind that every medical choice involves a trade-off between risks and benefitswhether it is to undergo surgery, take medication, or even just carefully monitor a condition .

In the case of a damaged or defective mitral valve, deciding whether surgery is advisable involves balancing the risks involved in any heart surgery against the risk that managing the disorder with medication and other nonsurgical treatments may result in progressive damage to your heart and circulatory system or may cause your valve to become so defective that it can’t be repaired and must be replaced. Studies have shown that patients who don’t have surgery to fix a severely leaky mitral valveeven those who haven’t yet begun to show symptomscan suffer serious consequences within 10 years, about 90% will experience serious adverse effects , and some will die.

Patients who smoke can reduce their risk of complications if they stop smoking at least two to four weeks before their surgery .

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What Are Heart Valves

The heart consists of 4 chambers2 atria and 2 ventricles . Blood passes through a valve as it leaves each chamber of the heart. The valves prevent the backward flow of blood. They act as one-way inlets of blood on one side of a ventricle and one-way outlets of blood on the other side of a ventricle. The 4 heart valves include the following:

  • Tricuspid valve. Located between the right atrium and the right ventricle.

  • Pulmonary valve. Located between the right ventricle and the pulmonary artery.

  • Mitral valve. Located between the left atrium and the left ventricle.

  • Aortic valve. Located between the left ventricle and the aorta.

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Heart Valve Problem And Pregnancy

Heart valve problem in moderate or mild form at the time of pregnancy is easily manageable with complete bed rest or proper medicines. A pregnant woman should make sure to take proper care, so that the disease does not pose any heightened risk to the fetus or the mother. Doctors opt to treat a majority of heart valve condition by prescribing a few safe medicines to intake at the time of pregnancy.

Severe heart valve problems, such as leaky heart valve makes labor or pregnancy and delivery of the baby risky. In case a woman has severe form of heart valve problem, she should consider repair or replacement of heart valves before pregnancy or planning for a baby. If needed, doctors may perform either of heart valve surgery during the pregnancy. However, surgery performed during pregnancy period may pose a big danger to both the fetus and the mother.

Most of the individuals with heart valve problems do not have any symptom. However, in some people, conditions usually stay in same condition during the entire life and do not cause any other problem. For other individuals, the problem becomes worse slowly until symptoms related to it develop.

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How Long Does It Take To Recover

Open heart surgery requires 57 days of hospital stay, while home care continues for 710 days afterward. Minimally invasive procedures generally require less time in the hospital and have quicker recovery periods. However, recovery after a sternotomy, a surgical incision through the sternum, can take several weeks or months.

A range of factors, such as age and other health conditions, can influence healing. A persons doctor will provide guidance on recovery time.

Positive Outcome Quick Recovery

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How did things turn out for the worlds first catheter-based mitral valve repair patient? It was a complete win and a clinical success acutely, explained Dr. Rinaldi. The care team was able to take the patients mitral valve leak from severe down to mild. The patient did really well during the procedure and went home the next day.

Ultimately, durability for this technique still poses challenges and the research work and innovation continue. While this procedure is investigative and not yet a standard modality of care, the acute outcomes are promising. Ongoing studies will indicate whether these results are repeatable.

When were caring for patients, we dont want to just offer good care we want to offer the best science-based medicine available, Dr. Rinaldi said. Our goal is to provide the latest techniques and technology to our patients. Thats why were continuing to pioneer these technologies through clinical trials.

To learn more about heart care at Sanger Heart & Vascular Institute, visit online.

Caution: CardioMech MVRS is an investigational device in the United States. CardioMech MVRS is limited by federal law to investigational use. It is not available for sale in the United States. The CardioMech MVRS is not available for sale in any region and has not received any regulatory approvals.

1 Leon, Martin B., . What is Structural Heart Intervention Today London: PCR London Valves 2017.

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Why Doesn’t Everyone Get A Minimally Invasive Procedure

Your goal and the goal of your health care team is to get the best and safest treatment possible for you. That means tailoring the treatment to your heart, your valve disease, your age, your general health and other factors unique to you. Because were all different, not everyone with the same kind of valve disease needs the same kind of repair, the same kind or size of replacement valve, or the same approach.

Traditional Surgery Vs Dr Doolabhs Approach

Dr. Doolabh offers an approach to heart valve repair that is dramatically different from what is typically performed: He doesnt cut through the breastbone.

Traditional heart valve surgery requires cutting through the breastbone while Dr. Doolabhs approach avoids the breastbone altogether with a small incision between the ribs.

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Can A Heart Valve Be Repaired Without Surgery

If you are experiencing a medical emergency, please call 911 or seek care at an emergency room.

Heart valve disease, a malfunction of one or more of the valves that allow blood to flow through the heart, affects roughly 2.5 percent of the U.S. population. More than 6 million people live in the Washington area, which means we can expect more than 152,000 people in our community to have some form of heart valve disease. Fifteen percent of people 75 and older have some problem with their heart valves function.

Symptoms of heart valve disease often build over time and can vary depending on the valve thats affected:

  • Aortic valve: chest pain, shortness of breath and fainting
  • Mitral valve: shortness of breath and swelling of the extremities
  • Tricuspid valve: swollen feet and liver congestion

Too many people suffer for years with these symptoms, but they shouldnt. We offer advanced treatment options, ranging from medication alone to minimally invasive procedures that dont require opening up the chest at all.

What Happens During Mitral Valve Repair

Cardiologist Q& A: Do Leaking Heart Valves Require Surgery?

During mitral valve repair, your surgeon will fix one or more issues with your valve. There are several different techniques your surgeon can use. In general, your surgery will follow these steps.

  • Your provider will give you anesthesia so youll be in a deep sleep during the procedure.
  • Youll be hooked up to a cardiopulmonary bypass machine. This machine will do the work of your heart and lungs during the surgery.
  • Your surgeon will make an incision , or part of your chest . You may have a smaller incision between two of your ribs . Or, you may have several small incisions in different points between your ribs .
  • Your surgeon will put an annuloplasty ring around the valve. This ring is like a cloth washer that supports the valve and returns it to a more normal shape.
  • Your surgeon will repair your mitral valve using one or more additional surgical techniques .
  • Its then important to evaluate the success of the repair. Your surgeon will check to see if your valve is fully repaired, and make adjustments if needed.
  • Youll be disconnected from the bypass machine so your heart and lungs can start working again.
  • Your surgeon will perform a transesophageal echocardiogram. This is to inspect your valve and confirm repair success.
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    How Do I Prepare

    Your surgery could be scheduled weeks in advance, and it’s a good idea to go into your surgery as healthy as you can. Focus on eating well and getting enough sleep and exercise. Try to keep your stress under control.

    Your doctor will need information about your health. They’ll want to know what medications or supplements you take. You should also let them know if you smoke, have any allergies, could be pregnant, or have a pacemaker.

    They also may want to do a blood test or other tests to make sure you’re healthy enough for surgery.

    Types Of Replacement Valves

    Mechanical and biologic valves are used to replace faulty valves. Mechanical valves are artificial components that have the same purpose as a natural heart valve. Theyre created from carbon and polyester materials that the human body tolerates well. They can last between 10 and 20 years. However, one of the risks associated with mechanical valves is blood clots. If you receive a mechanical heart valve, youll need to take blood thinners for the rest of your life to reduce your risk of stroke.

    Biologic valves, also called bioprosthetic valves, are created from human or animal tissue. There are three types of biologic heart valves:

    • An Allograft or homograft is made of tissue taken from a human donors heart.
    • A porcine valve is made from pig tissue. This valve can be implanted with or without a frame called a stent.
    • A bovine valve is made from cow tissue. It connects to your heart with silicone rubber.

    Biologic valves dont increase your risk of developing blood clots. This means you most likely wont need to commit to a lifetime of anti-clotting medication. A bioprosthetic doesnt last as long as a mechanical valve and may require replacement at a future date.

    Your doctor will recommend which type of heart valve you get based on:

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    Is Keyhole Mitral Valve Surgery Risky

    Mitral valve surgery is both very safe and very effective. If performed by keyhole heart surgery, the risks are even lower with less bleeding, less infection, less pain, and swifter recovery. The only caveat to this is that keyhole heart surgery must always be performed by experienced teams, and we always recommend that you ask your surgeon how many cases he/she has performed.

    What Is The Outlook If You Have A Leaky Heart Valve

    Mitral Valve Repair Heart Surgery High

    Your outlook for living with a leaky heart valve varies depending on several factors.

    The outlook for people with a mild case of leaky heart valve with no symptoms and no other heart problems is very good. Similarly, if your valve disease is treated effectively and no complications develop, the outlook is generally positive.

    A 2020 study suggests that even in people with severe, degenerative mitral valve regurgitation, effective mitral valve repair restores an individuals life expectancy to that of the general population.

    The key is to get your heart checked regularly. By being proactive, you and your healthcare team can catch any problems early enough to prevent serious complications that might affect your long-term health.

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